Health Insurance Tax Helped Drive Health Spending in 2018

Health care spending grew last year but shrunk as a portion of overall spending. A new analysis published in Health Affairs by Micah Hartman, a statistician in the CMS Office of the Actuary, finds that national health care spending increased by 4.6 percent in 2018 to $3.6 trillion, or 17.7 percent of the overall economy. That’s down from 17.9 percent the previous year.

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Californians Aren’t Getting the Mental Health Care They’re Legally Guaranteed. Why Not?

State Sen. Jim Beall is angry. Four times now, he has introduced legislation to better enforce state and federal “parity” laws, which require equal treatment of mental and physical health problems. Four times, that legislation has failed. As he enters his final year in the Legislature, the San Jose Democrat plans what he calls a “full-frontal assault”. “I’m going to put even more effort into next year,” Beall said, “because I’m madder than hell about it.” California’s parity mandate was signed into law in 1999, and a federal parity law followed in 2008. But the state has struggled to ensure those laws work‚ which helps explain why parity feels like an empty promise to so many Californians. More than half...

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Prescription Drug Prices Down Slightly Last Year

Prices for prescription drugs edged down by 1% last year, a rare result driven by declines for generics and slow, low growth in the cost of brand-name medications, the government said Thursday.

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CMS Administrator Seema Verma Scoffs at Hospital Execs’ Arguments Against Transparency

Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma pushed back on hospitals' resistance to publishing payer-negotiated prices, as now mandated by a federal rule.

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Website Errors Raise Calls For Medicare To Be Flexible With Seniors’ Enrollment

Saturday is the deadline for most people with Medicare coverage to sign up for private drug and medical plans for next year. But members of Congress, health care advocates and insurance agents worry that enrollment decisions based on bad information from the government’s revamped, error-prone Plan Finder website will bring unwelcome surprises.

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Trump Pulled Into Feud Between Top Health Officials

President Donald Trump has personally tried to settle the long-running feud between his two top health appointees, telling his health secretary to fix the relationship with his Medicare chief, said three individuals with knowledge of the situation.

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California Surprise-Billing Law Protects Patients But Aggravates Many Doctors

More than two years after California’s surprise-billing law took effect, there’s one thing on which consumer advocates, doctors and insurers all agree: The law has been effective at protecting many people from bills they might have been saddled with from doctors who aren’t in their insurance network.

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Employers, Insurers, Unions Urge Full Repeal of Cadillac Tax

More than 1,000 employers, insurers, unions, and other organizations on Thursday urged Senate leaders to scrap a controversial tax on expensive employer-sponsored health plans that's set to go into effect in 2022.

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Medicare Advantage Members Rarely Review or Switch Plans

Very few beneficiaries with Medicare Advantage or Medicare Part D stand-alone coverage voluntarily switch plans during open enrollment, according to a report from the Kaiser Family Foundation.

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Pharma’s Take On The Pelosi Drug-Pricing Bill: Fair Warning Or Fearmongering?

House Speaker Nancy Pelosi’s flagship proposal to curb prescription drug prices, the “Lower Drug Costs Now Act” ― H.R. 3 ― could come up for a vote in the chamber this month. The measure would allow Medicare to negotiate prices for a limited number of drugs, cap what seniors pay out-of-pocket ….

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